ElderGrade
B

84.5/100

Above average

Advanced Health Care Of Coeur D'alene

1578 W Riverstone Drive, Coeur D'alene, ID 83814

CMS 5/5 stars #1 of 7 in Kootenai County (208) 769-0400
Certified beds
34
Occupancy
88%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 30/30 Staffing 20.5/30 Stability 9/15 Outcomes 15/15 Enforcement 10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

20.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.34 total nurse hours per resident per day (national median 3.77)
  • 1.24 RN hours per resident per day
  • Weekend staffing drops 18% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 45% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 5.49 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.24 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.50 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 45.20%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 18 citations

Last standard health inspection: May 21, 2026 (3 months ago).

F May 21, 2026 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D May 21, 2026 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D May 21, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

F Mar 20, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D Mar 20, 2025 F0625

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

No actual harm, potential for more than minimal harm

D Mar 20, 2025 F0655

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

No actual harm, potential for more than minimal harm

D Mar 20, 2025 F0760

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

F Aug 23, 2021 F0680

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of ADVANCED HEALTH CARE, which operates 26 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
THE BRYAN MILLER UTAH DYNASTY TRUST DATED APRIL 22, 2014 Organization INDIRECT OWNERSHIP INTEREST
THE G&H MILLER UTAH TRUST DATED FEBRUARY 26, 2019 Organization INDIRECT OWNERSHIP INTEREST
OXNAM, NATHAN Individual CORPORATE OFFICER
FISHER, CURTIS Individual OPERATIONAL/MANAGERIAL CONTROL
LHMSH LLC Organization ADP OF THE SNF
NEW AHC HOLDINGS, LLC Organization ADP OF THE SNF
FISHER, CURTIS Individual ADP OF THE SNF
MEZA, MICHAEL Individual ADP OF THE SNF
THE GAIL MILLER GST TRUST Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NEW AHC HOLDINGS, LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Advanced Health Care Of Coeur D'alene

What is the ElderGrade for Advanced Health Care Of Coeur D'alene? +

Advanced Health Care Of Coeur D'alene holds an ElderGrade of B (84.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Advanced Health Care Of Coeur D'alene? +

Residents receive an average of 5.49 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Advanced Health Care Of Coeur D'alene been cited for harming residents? +

No. None of the 18 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Advanced Health Care Of Coeur D'alene accept Medicaid? +

Yes, Advanced Health Care Of Coeur D'alene is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.